Michael Andrew Mills, AMFT
Individual provider Active NPI Marriage & Family Therapist · Loa, UT
NPI 1669818704 · NPPES record last updated May 16, 2013
Key facts
- NPI
- 1669818704
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 8661742-3904 (UT)
- Practice address
- 56 South Main Street
Loa, UT 84747 - Phone
- (435) 836-2272
- NPI assigned
- May 16, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8661742-3904 | UT | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Outdoor Adventures LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 8661742-3904 | UT | Yes |
Addresses
Primary practice location
56 South Main Street
Loa, UT 84747
Mailing address
PO Box 400
Loa, UT 84747-0400
Phone (435) 836-2272
Other providers in Loa, UT
- Juniper Canyon Recovery Center for Women, LLC
- Stephen Kern
- Legacy Outdoor Adventures LLC
- Legacy Treatment Center LLC
- Veronica Malencia
- Taleah Moosman
- Devon Christopher Nanton
- Josie Ann Oyler
- Passages to Recovery
- Scott Andrew Peterson
All providers in Loa, UT · Marriage & Family Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 16, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.